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Hereditary Cancer Risk Assessment Patient Name: ___ Today's Date: ___ Your Physician: ___ Date Of Birth: ___ INSTRUCTIONS: Please circle YES (Y) to any statement below if it applies to YOU or YOUR
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How to fill out hereditary cancer risk assessment

How to fill out hereditary cancer risk assessment
01
Contact a genetic counselor to schedule an appointment for a hereditary cancer risk assessment
02
Fill out the necessary paperwork provided by the genetic counselor, which may include a family history questionnaire and consent forms
03
During the appointment, discuss your personal and family medical history with the genetic counselor
04
Undergo genetic testing if recommended by the counselor
05
Review the results of the genetic testing with the counselor and discuss any necessary follow-up care
Who needs hereditary cancer risk assessment?
01
Individuals with a personal or family history of certain types of cancer, such as breast, ovarian, colorectal, or pancreatic cancer
02
Those with multiple relatives who have had the same type of cancer
03
People with a known genetic mutation associated with an increased risk of cancer
04
Individuals interested in understanding their hereditary cancer risk for proactive health management
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What is hereditary cancer risk assessment?
Hereditary cancer risk assessment is a process of evaluating an individual's risk of developing cancer based on their genetic history and family medical history.
Who is required to file hereditary cancer risk assessment?
Individuals who have a family history of cancer or are concerned about their own risk of developing cancer are encouraged to undergo hereditary cancer risk assessment.
How to fill out hereditary cancer risk assessment?
Hereditary cancer risk assessment can be filled out by consulting with a genetic counselor or healthcare provider, who will collect information about the individual's family medical history and genetic markers.
What is the purpose of hereditary cancer risk assessment?
The purpose of hereditary cancer risk assessment is to help individuals understand their risk of developing cancer so they can take preventive measures or undergo screenings to catch cancer at an early stage.
What information must be reported on hereditary cancer risk assessment?
Hereditary cancer risk assessment typically includes information about the individual's family medical history, genetic testing results, and any personal history of cancer or related conditions.
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